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STUDENTS <br />3010F1 <br />Page 1 of 2 <br /> <br />Bonneville Joint School District No. 93 <br />Revised August 2014 <br />OPEN ENROLLMENT APPLICATION <br /> <br />Date Received: _________________________ Time Received: _________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Name of Proposed Receiving School _______________________________________________________________ <br />(Some specialized programs are only offered in a limited number of schools, e.g. special education, English <br />Language Learner, etc. Contact the District’s Special Services Center 557-6893 for further information.) <br /> <br />1. Applicant Student’s Name_____________________________________________________________________ <br /> <br />Date of Birth_______________________________________________________________________________ <br /> <br />2. School student is presently attending, or would attend if student were in a public school. <br /> <br /> Name of School and District____________________________________________________________________ <br /> <br /> Address of School___________________________________________________________________________ <br /> <br /> Present Grade Level of Student_________________________________________________________________ <br /> <br />3. Has the student ever been suspended or expelled from school or has the student committed a disciplinary <br />violation for which he/she could be suspended or expelled? <br /> □ Yes □ No <br /> <br />4. Has the student had any disciplinary infractions during the past school year? <br /> □ Yes □ No <br /> <br />If YES, describe the circumstances (including dates and duration) <br />_________________________________________________________________________________________ <br />_________________________________________________________________________________________ <br /> <br />5. Reason(s) for requesting attendance in this school (optional). <br />_________________________________________________________________________________________ <br />_________________________________________________________________________________________ <br /> <br />6. Special and/or unique instructional programs in which the applicant student is currently enrolled. (For example: <br />vocational, foreign language, remedial, special education, gifted/talented, etc.) <br /> <br /> <br />For School Year 20____ - 20____ <br /> <br />This application form (approved March 2000) was prepared pursuant to Section 33-1402, Idaho Code, and may be used by <br />any school district. Any other form must be approved by the State Superintendent of Public Instruction. <br /> <br />NOTE: For out-of-district applicants, a copy of 3010F4 Open Enrollment Student History Form must <br />be completed and attached to this application. A copy of the student’s current report card or <br />transcript must also be attached. <br /> <br />□ Out-of-District Application Name of District ________________________________________ <br /> <br />□ In-District Transfer Application